SecondHT

Sorry to hear that. I hope that after few months the area to improve and thicken. For my experience I would say that there are good and bad things. It's not black and white. I already mentioned them in my previous posts in this thread. Most important for me is any moved graft to survive. Whether all survived? It's difficult to say. Some say that this amount (1200) is small for that area to cover which makes me think that most of them might have survived. At least on the left side, where the results are better.

Hello, The pictures below are from 1 year mark. Basically I do not see improvement from the last time. The back sides of the temples are still empty. I contacted the clinic and I told them my concerns about the emptiness behind my hairline. My coordinator told me that Dr. Bisanga checked my photos and the reply was that this is because of two things - "limited amount of grafts available" and because the focus was on the front line. I can agree that my donor was already compromised but regarding the second thing, I am sure that I've told them during my consultation that my focus was on the two areas behind the hairline and if I have enough grafts to put also to the front line. They offered me another HT to fill these gaps. According to the doctor each side is ~6cm2 and he will place 35-40 grafts each, so in total ~500grafts. I measured the area and it is bigger than that - around 10cm2 per side so I guess I will need ~800. Maybe if they manage to find and place doubles and triples grafts I can get some decent result. I asked them what is the expected growth rate. The answer was 30% to 80% but they cannot tell me exactly before seeing me. This is strange because obviously they have seen me. I don't see any ridges at this area so I hope the survival rate to be higher. Currently I am thinking whether to give them another chance or to search for another clinic. From one side, I like that my donor was better managed compared to my first procedure. Also from the pictures immediately after the procedure I can see that the back sides really didn't get much grafts (rounded with red in the pictures) so this might explain the low density. On the other hand my right part of the hairline didn't get good results and also if I get only 30% of implanted hairs survived, that's really concerning. The pictures are made in front of a window except two of them which are made in a direct LED light.

Hello everyone! I haven't posted for quite some time but let me share now my progress. In short my results are far from the homeruns in the forum which makes me sad but one of the explanation is the small amount of grafts (or maybe I am wrong, correct me if you think otherwise). I am happy that my right temple, where I wanted to have more grafts because it was weaker, became better than the other. I am also happy that my donor was better treated than my previous transplant and is way better preserved. What is my biggest issue, which is obvious from the pictures, is the back side of the temples. No surprise here, initially there was indicator about that, which others noticed in the beginning. The empty area is where I had very small amount placed and where I have dying hair - thin hair, with small diameter which leads to lack of volume and support. At this point of time I don't have illusions that anything will improve. Especially in the problematic area. I wonder whether to go to another HT to fill these gaps. This will probably need at least 1200 more grafts I guess. Or the other option is to use hair fibers which I am using already and are helping with covering it. These are photos taken from today, at month 8 (+ 3 days). Hair is without any products and pictures are taken at the window on a shiny day: 1. Frontline (designed during my first HT😞 2. Right temple - thin at the back 3. Right side: 4. Left temple - again, very thin back side. Lack of volume and support. Here I intentionally exposed a bit the thin area: . 5. And one picture from the bathroom - again on a direct light: 6. And the below pictures (taken just after the procedure) I marked with red the area which it lacks grafts. I think I have hair there but it is very weak and not healthy: 7. And the left:

@Holos I also wonder why I don't have results like the others at this point of time. I don't agree with you that I wasn't careful. I'm following the doctor's guidance. I even put an extra effort on some of the recommendations, like for example going to the gym was not recommended by the clinic for 14 days and I decided to extend it to a month to be more confident that I will not harm the hair. No sun exposure, no wearing a hat (I work from home), except wearing the bandana at the airport (which I don't know if it can affect the results, but I was very careful). I don't drink alchohol. I don't smoke. I eat a lot of fruits and I drink a good amount of water. These are photos taken 4 days after 4 month mark. Also, I got photos from the clinic so I am posting them too. My hair is messy but I intentionally wanted to expose the recipient area instead of leaving the hair on top. 4 months and days: The day of the procedure, taken from the clinic:

Hello, today is exactly 3 months from my procedure:

Thank you for the good words!

Thanks!

Hello, today is 2 month update. Nothing really changed from month 1, except the longer hair:

1 month update. Most of the transplanted hair has shed. Redness turned to light pink.

Maybe it is still good to wear a hat in order to protect the recipient skin from the sun exposure.

You say "it is such a bad job" because of the number of grafts is too small or something else? I already had some hairs in between but maybe at the back side I also think I should have had more grafts. I strictly follow the post op care. The latest pictures are before washing. Today ~90% of scabs felt off.

Thank you chauhanA ! Today is day 7 and still I haven't touched the grafts. Tomorrow is the day when I will start slightly massaging them. They already started coming out. For now what I can say is that I am really well surprised by the donor management by dr. Bisanga. He really slightly touched it without killing neighbor grafts as my first HT clinic did. Now I'm even a bit regretting that I didn't want more grafts because actually I think we should have entered more the natural hair in order to blend it. As you can see there is a bit of emptiness between the natural and the new hair which worries me a bit but hopefully when it becomes longer it will be not be visible:

I agree. At the end most important is the result so hopefully this to be fine. Thanks.

Hello, I finally did my HT with dr. Bisanga (30 Jan 2023). I will not go in a lot of details because most of the other topics in the forum already have said them. Recipient area: I had 1200 grafts mainly in the temples which were my primary goal. You can notice that the grafts are implanted above my first HT hairline because I think it was a bit low. I spoke with dr. Bisanga about that and he agreed that in a next session we can remove/relocate them so to remain the new hairline. I'm still not quite sure if I will do this but I think when I turn 40 years+, this old hair line will not look natural for my age. Dr. Bisanga suggested me this number of grafts in my consultation but said that it could take a bit more if he connects the temples and reinforce the entire hair line. I also agreed with him but I didn't want to go above this number because I am afraid for my donor (which was already compromised). Donor area: The grafts were taken outside the area which was used for my first HT. And that destroyed area was clearly obvious after shaving my head (I will post more clear picture when the clinic sends me them). Just to mention that I was very apprehensive to shave my head because this was the first time in my life. My big ears do not stand well on a naked head 😅. The procedure: On the day of the operation, I first had a brief discussion about the documents and after that I met dr. Bisanga. I told him that I want a bit higher hairline and he draw it. Then I discussed with him my top priorities. My number one was the preservation of the quality of the donor area, so I told him that I would like to keep the impact minimal (I already new that he is good in donor management, so this was one of the reasons I chose him). A second was to fill the temples and if there are more grafts left to connect them (the new hair line). Then I moved to the op. room. After few shots of anesthesia he started taking grafts from my right side and a bit of the back side. Later he made the incisions on the recipient side and left the room. Then his technicians started moving the grafts from the donor to the recipient side. One thing which I wish regarding discussions with dr. Bisanga is he to be more inquiring. He looks a nice guy and of course answers all questions but I felt during consultation and the day of the procedure that he is not very talkative. I have explanation for this which is he already spoke the same things to hundreds of people and are well known for him but still often patients do not know what good questions to ask. PS: If the moderator can edit the title to "Dr. Bisanga repair procedure 1200 grafts" or something similar because I don't have rights to do it The day before the procedure (here I exposed intentionally the thin area😞 Day 0 (the day of the procedure): Day 1:

Looking good for 2 months! Good luck!